Gemmill 48835 Posted January 3 Share Posted January 3 Mine was yesterday. It's always the worst day of the year for me from a back from holiday pov. Just shite stretching ahead of you, with nothing to look forward to for a bit. Cack. Link to comment Share on other sites More sharing options...
ewerk 32566 Posted January 3 Share Posted January 3 I was supposed to be back today then realised my flight over to the match was earlier than I thought so the return to work isn’t until Monday and the Christmas avatar is staying. 2 2 Link to comment Share on other sites More sharing options...
NJS 4521 Posted January 3 Share Posted January 3 I was "in" yesterday - took till ten for the year's first "This data is wrong" and my reply with "No it isn't, this is why, and attached is the evidence so fuck off* exchange ( note" fuck off" was sadly sanitised) . Link to comment Share on other sites More sharing options...
Kid Dynamite 7504 Posted January 3 Share Posted January 3 Boo hoo, I've got to go to work after 2 weeks off Fuck you all. Some of us have been at work all over Christmas! 1 4 Link to comment Share on other sites More sharing options...
Gemmill 48835 Posted January 3 Share Posted January 3 @Christmas Tree this could still be you. It's not too late. 4 Link to comment Share on other sites More sharing options...
The Fish 11291 Posted January 3 Share Posted January 3 11 minutes ago, Kid Dynamite said: Boo hoo, I've got to go to work after 2 weeks off Fuck you all. Some of us have been at work all over Christmas! You tell 'em KD! Some of these cunts don't know they're born. Lounging around while we've been at work*. *If by "at work" you mean logged on in the home office, doing fuck all. 1 4 Link to comment Share on other sites More sharing options...
Renton 23228 Posted January 3 Share Posted January 3 38 minutes ago, Gemmill said: @Christmas Tree this could still be you. It's not too late. Jesus Christ. Gemmill and his new hobby. 6 Link to comment Share on other sites More sharing options...
Christmas Tree 5037 Posted January 3 Share Posted January 3 58 minutes ago, Gemmill said: @Christmas Tree this could still be you. It's not too late. This is going to crash and burn ever so quickly 4 Link to comment Share on other sites More sharing options...
Howmanheyman 35636 Posted January 3 Share Posted January 3 3 hours ago, Gemmill said: @Christmas Tree this could still be you. It's not too late. 2 hours ago, Christmas Tree said: This is going to crash and burn ever so quickly 4 Link to comment Share on other sites More sharing options...
Toonpack 11007 Posted January 4 Share Posted January 4 "Is curing patients a sustainable business model ?" Christ on a bike !! https://www.cnbc.com/2018/04/11/goldman-asks-is-curing-patients-a-sustainable-business-model.html?fbclid=IwZXh0bgNhZW0CMTEAAR2iRAXdG3dEpYl3IRrD_e1fWoJgUV6BwkxXlSUiA9DSkPEWPE4t_nQGNhs_aem_OMVVd0GmsBcxlLPqsMMs2g 1 Link to comment Share on other sites More sharing options...
Renton 23228 Posted January 4 Share Posted January 4 (edited) 1 hour ago, Toonpack said: "Is curing patients a sustainable business model ?" Christ on a bike !! https://www.cnbc.com/2018/04/11/goldman-asks-is-curing-patients-a-sustainable-business-model.html?fbclid=IwZXh0bgNhZW0CMTEAAR2iRAXdG3dEpYl3IRrD_e1fWoJgUV6BwkxXlSUiA9DSkPEWPE4t_nQGNhs_aem_OMVVd0GmsBcxlLPqsMMs2g There is market failure for a lot of new treatments nowadays for various reasons and as such we do need to think out if the box how development companies are reimbursed otherwise there will be no new drugs for those patient groups. We've already seen this with antibiotics and as a result we are pretty close to an "end of medicine" catastrophic situation. No antibiotics, no surgery. Reminds me of a time I gave a lecture arguing that for many conditions the most cost effective treatment was a gun. It was meant as a joke but there is actually some truth in it, it's just the way we assess cost effectiveness. Kill patients you remove all life benefits but also all there healthcare costs. Anyway, the lecture wasn't well received. Edited January 4 by Renton Link to comment Share on other sites More sharing options...
Kid Dynamite 7504 Posted January 4 Share Posted January 4 Both can be true. Ozempic has done more to cure obesity in 12 months than any other drug in 120 years. The company who owns it made about £12,000,000,000 profit from that one drug last year. Link to comment Share on other sites More sharing options...
Renton 23228 Posted January 4 Share Posted January 4 (edited) That's what I mean, there is no one size fits all in Pharma. Companies need to also be incentivised to treat or cure rare conditions but need to be reimbursed. Ozempic is an interesting one mind. I've lost as much weight by changing my diet as an average Ozempic user over the same time period in the last 6 months. Not everyone can do that though. Problem is, if you reserve this treatment for the most obese only, it creates a perverse moral hazard where people will deliberately become morbidly obese to qualify for the drug on the NHS. Health economics is full of such quandaries. Edited January 4 by Renton 1 Link to comment Share on other sites More sharing options...
Kid Dynamite 7504 Posted January 4 Share Posted January 4 27 minutes ago, Renton said: That's what I mean, there is no one size fits all in Pharma. Companies need to also be incentivised to treat or cure rare conditions but need to be reimbursed. Ozempic is an interesting one mind. I've lost as much weight by changing my diet as an average Ozempic user over the same time period in the last 6 months. Not everyone can do that though. Problem is, if you reserve this treatment for the most obese only, it creates a perverse moral hazard where people will deliberately become morbidly obese to qualify for the drug on the NHS. Health economics is full of such quandaries. It's rife on the private market. I know a shit load of nurses/doctors who do Botox on the side and are now chucking out Ozempic scripts outwith NICE guidance on minimum BMIs. Ive dropped about 16lbs in 4 months through diet and exercise and i'm 42, so it can be done if people could be arsed. 2 Link to comment Share on other sites More sharing options...
Renton 23228 Posted January 4 Share Posted January 4 47 minutes ago, Kid Dynamite said: It's rife on the private market. I know a shit load of nurses/doctors who do Botox on the side and are now chucking out Ozempic scripts outwith NICE guidance on minimum BMIs. Ive dropped about 16lbs in 4 months through diet and exercise and i'm 42, so it can be done if people could be arsed. Aye, so it becomes a lifestyle drug for those who can afford it. Far from ideal. Link to comment Share on other sites More sharing options...
wykikitoon 22234 Posted January 5 Share Posted January 5 @Renton have you read Pharmanomics? Link to comment Share on other sites More sharing options...
Renton 23228 Posted January 5 Share Posted January 5 9 hours ago, wykikitoon said: @Renton have you read Pharmanomics? No. Sounds either that would be a bus man's holiday to me or an annoying polemic by a guardianista journo with no qualifications or real knowledge of the subject. It's very complicated. It costs minimum of a billion pounds to develop a drug with no guarantee of return. Some of them are used only in a handful of patients. Pharma exists within the capitalist paradigm, no shit Pharma companies want to make money. I'm always puzzled while they're singled out. I mean, the forward to that book, he uses covid vaccination as an example of their negative impact on the world. I mean, what? The vaccines literally saved millions of lives and allowed us to get out of lock down. So companies made money out of it? How awful, they shouldn't have bothered. Not that I don't see bad practice in my industry, I do. But it's still probably the most heavily regulated industry on the planet, along with air travel, nuclear etc. RFK jnr may change this, we'll see, but it won't be for the better. I did read Ben Goldacre's book, Bad Pharma, a couple of decades ago. He's a good writer and a qualified doctor. I still found parts of this hyperbolic though. That's the problem with writing a polemic, you cherry pick data to prove your narrative, which in this case is highly ironic. 4 Link to comment Share on other sites More sharing options...
wykikitoon 22234 Posted January 5 Share Posted January 5 It's quite interesting for someone who hasn't a clue about it. It's also fucking scary. How pharma companies can use a tax loophole by sending pharma stuff to poorer countries. So pre covid a big US company sent fake tits to Zambia so they could avoid tax as that wad classed as giving to a poor country. There was one hedge fund manager not making enough brass so he started a pharma company. Bought the patent to a drug and then tried charging the NHS a mark up of 600% on the drug. It's fucking bonkers what can be allowed. Thankfully the UK is in a better place compared to the US and some other European countries. 1 Link to comment Share on other sites More sharing options...
Monkeys Fist 44558 Posted January 5 Share Posted January 5 37 minutes ago, wykikitoon said: sent fake tits to Zambia 3 Link to comment Share on other sites More sharing options...
Alex 36357 Posted January 5 Share Posted January 5 11 minutes ago, Monkeys Fist said: Think he means exporting implants rather than ones Gazza would have in his suitcase 👍🏻 3 Link to comment Share on other sites More sharing options...
Monkeys Fist 44558 Posted January 5 Share Posted January 5 Even so, is there a large bolt-on market in Zambia? 2 Link to comment Share on other sites More sharing options...
Renton 23228 Posted January 5 Share Posted January 5 1 hour ago, wykikitoon said: It's quite interesting for someone who hasn't a clue about it. It's also fucking scary. How pharma companies can use a tax loophole by sending pharma stuff to poorer countries. So pre covid a big US company sent fake tits to Zambia so they could avoid tax as that wad classed as giving to a poor country. There was one hedge fund manager not making enough brass so he started a pharma company. Bought the patent to a drug and then tried charging the NHS a mark up of 600% on the drug. It's fucking bonkers what can be allowed. Thankfully the UK is in a better place compared to the US and some other European countries. I'm in consultancy. Can't say too much but we had a client approach us who basically were trying to sell a generic antiseptic you can buy in Tesco to the NHS for thousands of pounds a dose. I just laughed. No way are you getting away with that shit here. The States though is more the wild West - not for regulation but for payment and compensation. When I joined here, 3 years ago, my boss pretty quickly sold us as a going concern to an American company, which as I've mentioned I pretty much hate working for. Got millions for it. Mansion in London, villa in France. He must have had a clause that he couldn't start another company for 2 years. Now that's passed, he's started a phoenix company and nicked half our staff. Cheeky bastard. Pretty sure this shit happens in every industry though. 3 Link to comment Share on other sites More sharing options...
wykikitoon 22234 Posted January 5 Share Posted January 5 It's the patent thing that surprised me most. All this and it's not about making people better for a lot eh? Link to comment Share on other sites More sharing options...
Toonpack 11007 Posted January 6 Share Posted January 6 Good Morning Workers 6 1 Link to comment Share on other sites More sharing options...
strawb 4586 Posted January 6 Share Posted January 6 Bragging about being old and close to death, pretty bleak. 6 Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now